ZipRecruiter

Log In

1

Medical Claims Processor Jobs (NOW HIRING)

NTT DATA

Medical Claims Processor

$17 - $18/hr

Medial Claims Processor In this role the candidate will be responsible for processing of ... Required skills for this role include: 2+ year(s) of medical claims experience. 2+ year(s) using a ...

90 Degree Benefits

Be Seen First

Experienced Medical Claims Processor (TPA)

Charlotte, NC · On-site

$18 - $21/hr

MUST HAVE DIRECT MEDICAL CLAIMS PROCESSING EXPERIENCE***** 90 Degree Benefits is seeking a full-time Claims Processor to join our team. This is a non-exempt position that will be responsible for ...

Crown Administrators

Claims Processor

$17.50 - $22/hr

Review and process medical claims submitted by members or providers promptly and accurately ... Verify the accuracy and completeness of claim information, including patient demographics ...

NTT DATA

Medical Claims Processor - Remote

$18/hr

Claims Processor At NTT DATA, we know that with the right people on board, anything is possible ... Company benefits may include medical, dental, and vision insurance, flexible spending or health ...

Crown Administrators

Claims Processor

Austin, TX · On-site

$16.75 - $21.25/hr

Review and process medical claims submitted by members or providers promptly and accurately ... Verify the accuracy and completeness of claim information, including patient demographics ...

Health Admins

Claims Processor

Austin, TX · Remote

$17.50 - $22/hr

Review and process medical claims submitted by members or providers promptly and accurately ... Verify the accuracy and completeness of claim information, including patient demographics ...

NTT DATA

Medical Claims Processor - Remote

$17.50 - $22/hr

Remote Claims Processing Associate At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our ...

NTT DATA

Medical Claims Processor, Xcelys, Remote

$20/hr

To serve as a Medical Claims Processor within the Xcelys managed care software platform environment. Provide subject-matter expertise on claims workflows and be a key contributor to system ...

Hire Up

Third-Party Medical Claims Processor

Fresno, CA · On-site

$18 - $20/hr

Exciting Opportunity for a Medical Biller / Claims Processor in Fresno, CA! We are seeking a skilled medical biller or claims processor to join one of our top employers in Fresno, CA. This full-time, ...

Karna LLC

Experienced Healthcare Claims Processor

$22 - $25/hr

Minimum of 5 years' experience in medical claims processing, including professional and facility claims as well as complex and high-dollar claims* Candidates must be located in one of the following ...

Karna, LLC

$20 - $25/hr

Minimum of 5 years' experience in medical claims processing, including professional and facility claims as well as complex and high-dollar claims* Candidates must be located in one of the following ...

KARNA LLC

$20 - $25/hr

Join the new Bakinaw-Karna Joint Venture Team as a Temporary, Full-Time Medical Claims Processor. Become an integral part of a team dedicated to servicing the World Trade Center Health Program. In ...

KARNA LLC

$22 - $25/hr

Minimum of 5 years' experience in medical claims processing, including professional and facility claims as well as complex and high-dollar claims* Candidates must be located in one of the following ...

Healthcare Support Staffing

Claims Processor

Tampa, FL · On-site

$14 - $17/hr

Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Minimum 2 year medical claims processing experience Knowledge of health benefit plans and health ...

Ageatia Global Solutions

Processor, Claims I

$17.50 - $22/hr

Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with Quality team for clarity on procedures and/or difficult claims and receives ...

next page

Showing results 1-20

All JobsMedical Claims Processor Jobs

Medical Claims Processor information

See salary details

$13

$19

$25

How much do medical claims processor jobs pay per hour?

As of Jul 1, 2026, the average hourly pay for medical claims processor in the United States is $19.47, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.63 per hour, depending on experience, location, and employer.

What are some common challenges faced by Medical Claims Processors, and how can they be managed?

Medical Claims Processors often encounter challenges such as handling complex insurance policies, keeping up with changing regulations, and resolving claim discrepancies. To manage these issues, strong attention to detail, continuous learning, and effective communication with providers and insurance representatives are essential. Many processors also rely on updated software and regular training to stay current with industry standards and maintain accuracy in claim adjudication.

What Is a Medical Claims Processor?

Medical claims processors work for a health care office or insurance company. Their job is to check medical insurance claims for proper billing codes, update the doctor or insurer about changes to the claim, and clarify concerns about patient benefits. It is essential that the billing codes match the medical services provided. As a medical claims processor, you also follow up with the insurer to discuss discrepancies and find out the status of claims. Current procedural terminology (CPT) and data entry are central parts of a medical claims processor’s job, as they often use Microsoft Office applications or a secure database to enter billing codes for services rendered.

What does a Medical Claims Processor do?

A Medical Claims Processor is responsible for reviewing, evaluating, and processing health insurance claims submitted by policyholders or healthcare providers. Their main tasks include verifying patient and insurance information, examining medical codes, ensuring compliance with insurance policies, and determining the amount payable for each claim. They play a crucial role in making sure that claims are handled efficiently and accurately, helping both providers and patients navigate insurance benefits. Attention to detail, knowledge of medical terminology, and understanding insurance guidelines are essential skills for this role.

What is the difference between Medical Claims Processor vs Medical Billing Specialist?

AspectMedical Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certification optionalHigh school diploma; certification often preferred
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Primary FocusReviewing and processing insurance claimsCreating and sending bills to patients and insurers
Common TasksVerifying claim accuracy, data entryCoding procedures, invoicing patients

While both roles involve handling healthcare financial data, Medical Claims Processors focus on reviewing and submitting insurance claims, whereas Medical Billing Specialists handle invoicing and billing patients. Both roles require attention to detail and knowledge of healthcare billing processes, but their daily tasks and focus areas differ.

What are the key skills and qualifications needed to thrive as a Medical Claims Processor, and why are they important?

To thrive as a Medical Claims Processor, you need a solid understanding of medical terminology, health insurance policies, and claims adjudication processes, often supported by a high school diploma or associate degree. Proficiency with claims management software, ICD and CPT coding systems, and electronic health record systems is typically required. Attention to detail, organizational skills, and the ability to communicate clearly with providers and patients are essential soft skills. These competencies ensure accurate claim processing, minimize errors, and help maintain efficient workflow within healthcare administration.
More about Medical Claims Processor jobs
What cities are hiring for Medical Claims Processor jobs? Cities with the most Medical Claims Processor job openings:
What are the most commonly searched types of Medical Claims Processor jobs? The most popular types of Medical Claims Processor jobs are:
Who are the top companies hiring for Medical Claims Processor jobs? The top employers for Medical Claims Processor jobs are:
What states have the most Medical Claims Processor jobs? States with the most job openings for Medical Claims Processor jobs include:
What are popular job titles related to Medical Claims Processor jobs? For Medical Claims Processor jobs, the most frequently searched job titles are:
Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in the United States as of June 2026, with employment types broken down into 100% As Needed. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.
Medical Claims Processor

Medical Claims Processor

Vanguard Group Staffing

New York, NY • On-site

$24 - $30/hr

Temporary

PTO

Posted 10 days ago

Key responsibilities

  • Communicate via telephone and written correspondence with providers, members, attorneys, and collection agencies to resolve balance billing and fee negotiation inquiries.

  • Analyze correspondence, verify member eligibility, claim history, and coordination of benefits, and review claims to determine if appropriate action was taken.

  • Negotiate and resolve balance billing inquiries and fees with nonparticipating providers, and follow up with Claims and Recovery Units to initiate adjustments and recover money.

Job description

Long Term Temporary, Possible Temporary- to -Direct Hire Medical Billing/Claims Coordinator - Monday through Friday, 9am to 5pm, Fully On-Site.


  • Communicate via telephone and written correspondence with providers, members, attorneys, and collection agencies to resolve balance billing/fee negotiation inquiries.
  • Handle large call volume.
  • Negotiate and resolve balance billing inquires, negotiate fees and discounts for members with nonparticipating providers to reduce out of pocket expenses.
  • Analyze correspondence; verify member eligibility, claim history and coordination of benefits.
  • Review claims to determine if appropriate action was taken; follow up with Claims and Recovery Units to initiate adjustments and recover money.
  • Identify billing anomalies and alert the Fraud and Abuse Department to reduce fraudulent billing practices.
  • Triage balance billing/fee negotiation inquiries and ensure all documents are processed in a timely and efficient manner.
  • Research provider contracts and lease network reports to ensure providers are not breaching contracts by referring members out of network.
  • Perform additional duties and projects as assigned by management.
Vanguard Staffing logo

About Vanguard Staffing

Sourced by ZipRecruiter

For more than 50 years, Vanguard has provided reliable, hands-on recruiting services to the entertainment, finance, banking, media, advertising industries, health care industries and more. Founded in New York City in 1970, Vanguard provides staffing services throughout the Tri-State area. As accounting and finance, administrative clerical and freelance creative graphic design recruiters, we understand the importance of working together as a team in all aspects of our business. And we communicate openly with staff, clients, and the people that we place.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Stamford, CT, US

Year founded

1969

Social media

FacebookTwitter

View All Vanguard Staffing Jobs